NPI | 1194875641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101051911) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0047787) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2011-11-01 |